| NPI | 1043928229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 879196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1111762) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-05-06 |