| NPI | 1851142269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 202343) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1171330) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-07-21 |