| NPI | 1851567820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1157579) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 282740) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2025-10-01 |