| NPI | 1124480538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP130543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP130543) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-07-02 |