| NPI | 1215350913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338480) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2025-10-02 |