| NPI | 1912043647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP11682) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-08-20 |