| NPI | 1134479272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A003771) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2026-01-20 |