| NPI | 1235721721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1096787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 937093) |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2024-04-18 |