| NPI | 1336912435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1156472) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 76561) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2026-06-01 |