| NPI | 1588207468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143744) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 32212) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-04-04 |