| NPI | 1023631645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13099574-1205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 936684) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2023-04-26 |