| NPI | 1013332949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1023324) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 794196) |
| 163W00000X Registered Nurse (Licence: TX 794196) | |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2022-08-26 |