| NPI | 1699324871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 328095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141609) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2025-09-05 |