| NPI | 1902413255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024004869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1011944) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-06-24 |