| NPI | 1174823991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1132841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 605607) |
| 247000000X Technician, Health Information (Licence: TX 605607) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 605607) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2023-08-22 |