| NPI | 1184032989 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 237292)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126078)  | 
| Enumeration Date | 2014-07-24 | 
| Last Update Date | 2025-07-15 |