| NPI | 1528496247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124510) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 779789) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2025-12-08 |