| NPI | 1447931118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4048130) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2025-11-13 |