| NPI | 1720835390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1003172) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 174203) |
| 163W00000X Registered Nurse (Licence: TX 1003172) | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2026-02-17 |