| NPI | 1720745425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1057515) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX 1057515) |
| 363L00000X Nurse Practitioner (Licence: TX 1057515) | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2025-04-16 |