| NPI | 1366689762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX Ap120088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 480657) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2025-12-11 |