| NPI | 1003361098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 759628) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP142207) |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: TX 759528) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 759528) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2026-06-25 |