| NPI | 1639720642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014433) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 896326) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2024-06-06 |