| NPI | 1558971879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018454) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 831703) |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2024-03-21 |