| NPI | 1578582987 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146181) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 10491) | 
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2025-08-15 |