| NPI | 1861884835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127297) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127297) |
| 363L00000X Nurse Practitioner (Licence: TX AP127297) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2025-09-29 |