| NPI | 1134615461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP137826) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX AP137826) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-02-28 |