| NPI | 1033820790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1098670) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX 1098670) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1098670) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-04-18 |