| NPI | 1144994831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1069438) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11014432) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2022-07-22 |