| NPI | 1457890162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 3771730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132854) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2025-04-30 |