| NPI | 1215426291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136776) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX AP136776) |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2025-10-03 |