| NPI | 1063422319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1207120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704171067) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-10-07 |