| NPI | 1285463349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178399) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: TX 773319) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2026-04-28 |