| NPI | 1245691583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1170914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1170914) |
| 163W00000X Registered Nurse (Licence: TX 877025) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2025-10-21 |