| NPI | 1659726917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SC 21278) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP130859) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP130859) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN272269) | |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2026-05-07 |