| NPI | 1821886144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1137995) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2390260) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-08-22 |