| NPI | 1427080670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 199768-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 1997684405) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2026-01-13 |