| NPI | 1528776531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1109088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1109088) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-12-05 |