| NPI | 1194049791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 14752) |
| 363L00000X Nurse Practitioner (Licence: TN APN14752) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1211243) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2025-08-28 |