| NPI | 1790495182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 906189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110884) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2025-10-30 |