| 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 |