| NPI | 1952182354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11853043-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 11853043-8900) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2025-04-22 |