| NPI | 1396193348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133998) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024197488) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2026-07-16 |