| NPI | 1992290001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 287645-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1189502) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11023640) | |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2025-03-14 |