| NPI | 1184976615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9291944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172556) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1054327) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2026-01-13 |