| NPI | 1467396598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 12456189-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 12456189-3102) |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-05-28 |