| NPI | 1265841282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1194750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004169) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2025-04-21 |