| NPI | 1578831434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A005496) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2025-08-27 |