| NPI | 1336559509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 736075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 226127) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2025-12-11 |