| NPI | 1205454956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 355635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145405) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2025-06-06 |