| NPI | 1609347814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 25254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 229115) |
| 363L00000X Nurse Practitioner (Licence: GA RN281768) | |
| 363L00000X Nurse Practitioner (Licence: TX 1229486) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2026-03-18 |