| NPI | 1346256484 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP033513) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 595392) | 
| Enumeration Date | 2006-07-31 | 
| Last Update Date | 2025-09-15 |