| NPI | 1972268399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1056906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 866130) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2022-10-26 |