| NPI | 1407376429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134122) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX AP134122) |
| 207Q00000X Family Medicine (Licence: TX AP134122) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2026-03-18 |