| NPI | 1699372789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1088908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9527207) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-197885) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11011328) | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2024-04-02 |