| NPI | 1184823577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1105091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 695675) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP116069) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2025-09-08 |