| NPI | 1831557982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F06180743) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 845837) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2020-06-05 |