| NPI | 1255941258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 717838) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-12-31 |