| NPI | 1689290660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202213930NP-PP) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-10-30 |