| NPI | 1326838137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1205247) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN284180) |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2026-02-17 |