| NPI | 1619522141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142714) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 581020) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2021-08-03 |