| NPI | 1265803464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1108858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08306) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2026-04-15 |