| NPI | 1336978097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1213833) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: KS 13-145054-111) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-07-06 |