| NPI | 1215366943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124654) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 13504) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 203100) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2025-10-27 |