| NPI | 1669835708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 116843) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209035136) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2026-05-26 |