| NPI | 1891095444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F0710483) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2025-08-08 |