| NPI | 1821431867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: TX 513250) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX 513250) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1100949) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-02-23 |