| NPI | 1609887439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 686322) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-06-19 |