| NPI | 1952979593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1150184) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 815139) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-02-29 |