| NPI | 1376101964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F12190039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 874635) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-08-13 |