| NPI | 1770729493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 725582) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 725582) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2022-05-05 |