| NPI | 1508672262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1180851) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 919836) |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2026-03-12 |