| NPI | 1740819861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F06201002) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA RN146584) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-06-02 |