| NPI | 1326894767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1203690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 115457) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A179060) | |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-08-19 |