| NPI | 1538794227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1214080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195868) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2026-03-17 |