| NPI | 1033899794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 888570) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1130824) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-08-07 |