| NPI | 1679366033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1001808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1001808) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-07-30 |