| NPI | 1346832904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1100338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000222645) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2024-03-04 |