| NPI | 1407428907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1087022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1087022) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 793526) | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-05-10 |