| NPI | 1457828782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7719242-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020032) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2025-12-26 |