| NPI | 1073983193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 679081) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2026-02-25 |