| NPI | 1396406534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F09220062) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 629521) |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2023-01-22 |