| NPI | 1033959861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1166381) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 704480) |
| 163W00000X Registered Nurse (Licence: TX 844681) | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-07-12 |