| NPI | 1225486475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP131140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 785813) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2021-11-29 |