| NPI | 1801398284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP136794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A183760) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136794) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2025-10-19 |