| NPI | 1790561272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F04240227) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 806538) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-04-08 |