| NPI | 1245720838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 742224) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2019-10-01 |