| NPI | 1265706402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121597) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 745143) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2025-03-18 |