| NPI | 1801662580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1181871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11029930) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-11-25 |