| NPI | 1932873445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1060102) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 11014402) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11014402) | |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2022-06-23 |