| NPI | 1609410653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01038600) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 352903) | |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2025-03-27 |