| NPI | 1902504657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1126999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 800103) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-09-09 |