| NPI | 1639690597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002215) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2025-08-11 |