| NPI | 1417550773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1031295) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 907031) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2022-11-17 |