| NPI | 1922632553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP144414) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP144414) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-06-08 |