| NPI | 1619679057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1152746) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229436) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-12-05 |