| NPI | 1205558251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1091862) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: TX 944753) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |