| NPI | 1174205025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1130833) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: TX 772024) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-09-25 |