| NPI | 1134606965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F11190141) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 771540) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2022-07-29 |