| NPI | 1861022758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1011271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 929749) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-08-12 |