| NPI | 1306249818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133941) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5007216) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-11-17 |