| NPI | 1750984621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030506) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 917926) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2023-06-04 |