| NPI | 1427718097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1062692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202201946NP-PP) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2025-07-29 |