| NPI | 1689276164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145709) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX AP145709) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2025-10-20 |