| NPI | 1760098321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1031045) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10063774) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 342662) | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2026-07-27 |