| NPI | 1851940829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 865537) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2024-05-02 |