| NPI | 1992261614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11043433) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11043433) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2026-01-05 |