| NPI | 1548131626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F07250211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 836882) |
| 163W00000X Registered Nurse (Licence: CA 95116191) | |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2025-09-13 |