| NPI | 1013471929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1194580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 203432) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2025-06-19 |