| NPI | 1154083970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1047552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 226187) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-12-10 |