| NPI | 1083186167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP144450) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP14450) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2023-06-12 |