| NPI | 1053921171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017592) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 903560) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-03-06 |