| NPI | 1255188744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1168111) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: TX 757894) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-07-03 |