| NPI | 1760246508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1152375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1152375) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-04-23 |