| NPI | 1053010587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1112698) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 601760) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-03-09 |