| NPI | 1306426549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F06190014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 734757) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-22 |