| NPI | 1508377672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN309) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95018439) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2025-08-12 |