| NPI | 1619352804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3392981) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2026-03-15 |