| NPI | 1598056665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1007173) |
| 163W00000X Registered Nurse (Licence: VA 0001211158) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2020-05-27 |