| NPI | 1851921357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1044091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1044091) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 856403) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-05-16 |