| NPI | 1821838426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1155664) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 959161) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-11-19 |