| NPI | 1942158308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1065978) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 89058) |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-08-11 |