| NPI | 1518648880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 14209154-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 27613) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2026-07-08 |