| NPI | 1003455387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018938) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2025-07-14 |