| NPI | 1174704415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 540169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP108548) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2025-04-14 |