| NPI | 1255086518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1073020) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 753054) |
| 363L00000X Nurse Practitioner (Licence: TX 1073020) | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2025-02-26 |