| NPI | 1346006335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1147106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028801) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2025-01-22 |