| NPI | 1710648084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1062694) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2025-04-10 |