| NPI | 1831663350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 280089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139304) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2025-09-02 |