| NPI | 1609760610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1202286) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: TX 929073) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1206686) | |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-07-16 |