| NPI | 1124845359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 976836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1189873) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-02-01 |