| NPI | 1700201654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 725103) |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2025-07-14 |