| NPI | 1699342089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1041334) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2025-08-08 |