| NPI | 1326062845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133927) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-056480) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-06-23 |