| NPI | 1265132997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 11786917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024092) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2026-06-25 |