| NPI | 1629460308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131415) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 734765) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 734765) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2022-08-30 |