| NPI | 1255882189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1164306) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 860550) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2024-06-16 |