| NPI | 1134012925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10385650-4405) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 208100000X) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-07-11 |