| NPI | 1326467705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX api25457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX ap125457) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2026-07-29 |