| NPI | 1891193744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10041565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126911) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2025-05-22 |