| NPI | 1346886157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 705819) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2025-07-23 |