| NPI | 1982095790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127733) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX F0215294) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2020-07-06 |