| NPI | 1689178006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 839574) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2020-01-30 |