| NPI | 1679891030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 758888) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: TX 758888) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140088) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2019-02-22 |