| NPI | 1215926282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 7871970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 628905) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2025-10-15 |