| NPI | 1134938624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1189608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036609) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-04-28 |