| NPI | 1518346212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011016) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-10-13 |