| NPI | 1952988800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1095939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 718760) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-10-12 |