| NPI | 1134572357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1216975) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2026-03-20 |