| NPI | 1497528491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A184261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1133002) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-12-23 |