| NPI | 1780469726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1192379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 970920) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-08-07 |