| NPI | 1518387703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124792) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP124792) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2025-09-02 |