| NPI | 1073237129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1100868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 947664) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-12-14 |