| NPI | 1851856603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 222706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140493) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2025-08-06 |