| NPI | 1811675994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1107514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 213086) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-07-17 |