| NPI | 1023823044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 14204321-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 14204321-4405) |
| 163W00000X Registered Nurse (Licence: NC 259925) | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-11-13 |