| NPI | 1528698974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1018205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 775428) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-04-15 |