| NPI | 1790338051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 851895) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-05-16 |