| NPI | 1912229899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9740059-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60569371) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP118920) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2026-06-16 |