| NPI | 1265032544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A161810) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1142237) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2026-07-30 |