| NPI | 1831547421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A183732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004775) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1202827) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2025-08-12 |