| NPI | 1023803624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11741741-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 11741741-8900) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-28 |