| NPI | 1205292034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127131) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 800190) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 77132) | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2024-05-01 |