| NPI | 1588122378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029637) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-09-30 |