| NPI | 1164159307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1084541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 930846) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |