| NPI | 1912520503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 116935-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144200) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2026-04-21 |