| NPI | 1871189712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1015129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08200346) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2026-04-09 |