| NPI | 1811449614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX API32090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132090) |
| 282NR1301X General Acute Care Hospital, Rural (Licence: TX AP132090) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2023-12-15 |