| NPI | 1003557620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 83702) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TX 1004961) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-07-14 |