| NPI | 1235644451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP135795) |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2024-10-12 |