| NPI | 1043726862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 833237) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2021-06-14 |