| NPI | 1457100745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9421907-4405) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: UT 9421907-3102) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2026-08-06 |