| NPI | 1134531080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1148572) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX 12-230) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2026-01-27 |