| NPI | 1720452865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 114221-23) |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2025-06-23 |