| NPI | 1679911986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1229715) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2026-05-13 |