| NPI | 1437928678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10044396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1150794) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-07-25 |