| NPI | 1144988304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1056595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1056595) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2025-06-18 |