| NPI | 1821881673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1028325) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1028325) | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |