| NPI | 1366064883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099690) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: TX 923400) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2023-08-08 |