| NPI | 1942686969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9305391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX APRN1190037) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2025-07-23 |