| NPI | 1447886064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145485) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX AP145485) |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2024-11-13 |