| NPI | 1295356319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 773485) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2021-10-01 |