| NPI | 1063224244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 316507) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-08-20 |