| NPI | 1386395069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1063295) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-04-10 |