| NPI | 1184490302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1191863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 300639) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2025-03-21 |