| NPI | 1033715636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TX 876470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 104667) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-10-28 |