| NPI | 1588470272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1181013) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 893682) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 893682) | |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |