| NPI | 1205593928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1073948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A190557) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2026-04-14 |