| NPI | 1649745332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1112867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 787516) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2023-04-03 |