| NPI | 1053892182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1206756) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 225682) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 85641) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 235194) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-11-18 |