| NPI | 1760085658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 887503) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: TX 236609) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1029232) | |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2023-02-01 |