| NPI | 1598499303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1089271) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 906885) |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2022-08-06 |