| NPI | 1679069850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AP11499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1227510) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2026-02-27 |