| NPI | 1316809973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1235811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 893935) |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2026-05-22 |