| NPI | 1275772337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117746) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2025-03-17 |