| NPI | 1114799434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1140704) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 228523) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 316960) | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2026-04-28 |