| NPI | 1639673015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1048223) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 886205) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-08-06 |