| NPI | 1831961523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141159) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 935117) |
| 363L00000X Nurse Practitioner (Licence: TX 1141159) | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-02-22 |