| NPI | 1154653871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN174392) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9434433) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2026-02-20 |