| NPI | 1639908338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1177268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033239) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-02-10 |