| NPI | 1992576391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1169074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95028434) |
| 207Q00000X Family Medicine (Licence: CA 95028434) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2026-01-21 |