| NPI | 1174230601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1099707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 618662) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-02-08 |