| NPI | 1730809955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1730809955) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209036094) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 4281618) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 90885) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2026-08-10 |