| NPI | 1891566220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1180769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1180769) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 968008) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-05-02 |