| NPI | 1467114579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028927) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1028927) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2025-12-03 |