| NPI | 1538619655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP132143) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 3-002946) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2026-04-09 |