| NPI | 1255058863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10044066) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2025-06-20 |