| NPI | 1326570961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133701) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 1081901) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2026-06-23 |