| NPI | 1750915112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP145139) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2026-03-18 |