| NPI | 1952108946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1129216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 776586) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |