| NPI | 1780223289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1138390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020633) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2025-12-22 |