| NPI | 1316554256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1014791) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX E08210009) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1014791) | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-11-17 |