| NPI | 1982169546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140402) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 821048) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2026-08-18 |