| NPI | 1952010225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1097774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61678103) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2025-08-28 |