| NPI | 1831706431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141457) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 950173) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2024-12-30 |