| NPI | 1114485661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 721821) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139037) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2022-06-22 |