| NPI | 1295380285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 885532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1102838) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2022-12-29 |