| NPI | 1538841598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1130832) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 806402) |
| 163WC0400X Registered Nurse, Case Management (Licence: TX 806402) | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-01-16 |