| NPI | 1811697576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1143498) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 953321) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 953321) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2025-07-28 |