| NPI | 1649685462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 10001941) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10026036) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190396) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-07-31 |