| NPI | 1184975971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 123233) |
| 363L00000X Nurse Practitioner (Licence: IN 71004529A) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2026-05-28 |