| NPI | 1366135808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1205416) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 922126) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2025-06-30 |