| NPI | 1669187258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017147) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2026-08-17 |