| NPI | 1891288742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F04180557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137578) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-08-26 |