| NPI | 1699240903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019480) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2025-10-15 |