| NPI | 1114531217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1032219) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 676887) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2024-03-27 |