| NPI | 1265008528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1041571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 963622) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 963622) | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |