| NPI | 1124304415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 120789) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 120789) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 588636) | |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2025-04-07 |