| NPI | 1124782537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 230682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1057392) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2025-05-28 |