| NPI | 1770270365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 813069) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-11-07 |