| NPI | 1972383685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1240028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-126212) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2026-06-24 |