| NPI | 1184119711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145977) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1473843) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN F06182215) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 5910) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-08-09 |