| NPI | 1730918319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10495026-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10495026-3102) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-06-05 |