| NPI | 1942068408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1036920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1036920) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-11-05 |