| NPI | 1063256741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1169291) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 905033) |
| 363L00000X Nurse Practitioner (Licence: TX 1169291) | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2025-12-30 |