| NPI | 1083198402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1111823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 903547) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2023-02-27 |