| NPI | 1841820206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1004837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 810562) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-02-04 |