| NPI | 1952742678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140225) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18309) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2025-12-11 |