| NPI | 1174035182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141106) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007602A) |
| 363L00000X Nurse Practitioner (Licence: TX 963829) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-09-16 |