| NPI | 1356850101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 779672) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2021-01-06 |