| NPI | 1295392058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1094794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 877549) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-04-27 |