| NPI | 1932829355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1143407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP500339660) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2026-03-19 |