| NPI | 1861116014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1089687) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 710964) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |