| NPI | 1932685856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018952) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138246) |
| 163W00000X Registered Nurse (Licence: TX 825385) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018952) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2025-11-13 |