| NPI | 1831641737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP132749) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX ap132749) |
| 163W00000X Registered Nurse (Licence: TX 782788) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2022-05-23 |