| NPI | 1164691465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX RN 603948) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2025-03-06 |