| NPI | 1326655002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 14209968-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000925) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-05-22 |