| NPI | 1659748499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1053765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704999) |
| 163W00000X Registered Nurse (Licence: TX 1053765) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 345824) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-05-23 |