| NPI | 1386468940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1176800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704354461) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2026-05-04 |