| NPI | 1710432588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1140694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 907969) |
| 163W00000X Registered Nurse (Licence: CO 1623042) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1140694) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2023-10-30 |