| NPI | 1063864239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134803) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2295968) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2025-08-08 |