| NPI | 1497427348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1133397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61180410) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2025-07-03 |