| NPI | 1023976958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1243677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11044770) |
| Enumeration Date | 2026-01-10 |
| Last Update Date | 2026-08-26 |