| NPI | 1982424842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1180366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1180366) |
| 207Q00000X Family Medicine (Licence: TX F06242257) | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-10-28 |