| NPI | 1760379754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1199292) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1199292) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1199292) | |
| Enumeration Date | 2025-06-21 |
| Last Update Date | 2025-07-21 |