| NPI | 1700493426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 148191) |
| 163W00000X Registered Nurse (Licence: TX 888309) | |
| 363L00000X Nurse Practitioner (Licence: LA 215619) | |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |