| NPI | 1255225728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1206375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3565501) |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-12-09 |