| NPI | 1588123178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11001841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142595) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 315983) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2026-05-13 |