| NPI | 1679379499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1204853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95263992) |
| 163W00000X Registered Nurse (Licence: NY 827573) | |
| 163W00000X Registered Nurse (Licence: TX 913686) | |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-06-24 |