| NPI | 1962747667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 753139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121915) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2025-05-22 |