| NPI | 1306640545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1193223) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1193223) |
| 363L00000X Nurse Practitioner (Licence: TX 1193223) | |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-08-14 |