| NPI | 1386518892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1191474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 977586) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-11-28 |