| NPI | 1144467010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 198503-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 198503-8900) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2026-04-22 |