| NPI | 1699568410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1157777) |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-08-26 |