| NPI | 1316400864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138663) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX AP138663) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-12-05 |