| NPI | 1053132167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 822104) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 822104) |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: TX 822104) | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-22 |