| NPI | 1609561521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1192332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229428) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2025-06-17 |