| NPI | 1235295676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 645508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP110226) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-02-03 |