| NPI | 1972960623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1183621) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 766253) |
| 251B00000X Case Management | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2025-03-15 |