| NPI | 1881120095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133901) |
| Additional Taxonomies | 364SR0400X Clinical Nurse Specialist, Rehabilitation (Licence: TX AP133901) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2023-03-18 |