| NPI | 1427369917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 692971) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: TX 692971) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 692971) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-10-20 |