| NPI | 1124844568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1174775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08240624) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-04-11 |