| NPI | 1285336966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1084164) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 1084164) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-07-20 |