| NPI | 1023574993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP139638) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-10-11 |