| NPI | 1609709997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-290994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 12619278-4405) |
| Enumeration Date | 2026-06-05 |
| Last Update Date | 2026-08-12 |