| NPI | 1417535972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018133) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-11-26 |