| NPI | 1487030748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1211660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6192) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2026-03-27 |