| NPI | 1417348897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28196599A) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2025-04-25 |