| NPI | 1013526904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1021385) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IA 748088) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-07-14 |