| NPI | 1427693639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1042955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 894838) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2021-08-20 |