| NPI | 1073004792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP137600) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TX 957032) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-04-03 |