| NPI | 1942536081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5080238-4408) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5080238-3900) |
| Enumeration Date | 2009-10-25 |
| Last Update Date | 2026-01-08 |