| NPI | 1366260796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 969059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1172564) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2026-03-13 |