| NPI | 1295216554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 902591) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP141374) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-02-07 |