| NPI | 1750274700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1179445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14102973) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |