| NPI | 1740830520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145443) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 881401) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014749) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2022-09-06 |