| NPI | 1134910136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F356695-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1179839) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |