| NPI | 1598205320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005066) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10035465) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1190924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN4023) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2026-03-09 |