| NPI | 1164031258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1016447) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TX 865593) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2021-09-18 |