| NPI | 1538706114 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144709) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 899131) | 
| Enumeration Date | 2019-12-03 | 
| Last Update Date | 2025-10-07 |