| NPI | 1811676901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1123712) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-03-11 |