| NPI | 1497523302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1149317) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 823969) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-08-07 |