| NPI | 1255098075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1139965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 955950) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-10-27 |