| NPI | 1508372608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021030137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1036648) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2026-04-15 |