| NPI | 1396138293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 631403) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2025-07-28 |