| NPI | 1164165320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1042737) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 1042737) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-15 |