| NPI | 1811861727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 1214377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1214377) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |