| NPI | 1215767447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1170336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 916602) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |