| NPI | 1306581392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1070148) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-12-16 |