| NPI | 1245290642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9292026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 650362) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2025-03-24 |