| NPI | 1154943686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1089343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 800512) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-12-05 |