| NPI | 1285332312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1112451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9269078) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2025-03-04 |