| NPI | 1386915601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP121352) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 695904) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2025-10-30 |