| NPI | 1609430412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 141668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F0419431) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2025-07-30 |