| NPI | 1356957468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11839384-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 11839384-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 11839384-4405) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-11-26 |