| NPI | 1912876285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1049375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11043233) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-26 |