| NPI | 1447980875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1206413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020161) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-07-22 |