| NPI | 1467999367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 40274) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2026-03-05 |