| NPI | 1598020521 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121951) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 675959) | 
| Enumeration Date | 2012-07-05 | 
| Last Update Date | 2025-03-31 |