| NPI | 1609544162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1143027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023884) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-07-07 |