| NPI | 1265082358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145185) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 881703) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2021-10-28 |