| NPI | 1326803487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1177486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20730900) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2026-03-31 |