| NPI | 1053818831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 760635) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 760635) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2022-11-04 |