| NPI | 1225670672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP139169) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95036107) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2025-08-09 |