| NPI | 1194111617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3394331-1) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2025-06-11 |