| NPI | 1336760537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6696823-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 6696823-4405) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-05-01 |