| NPI | 1013679497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1138142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 200314) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-09-20 |