| NPI | 1891315479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1055946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 936255) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-03-22 |