| NPI | 1386206977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP139529) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC 5011959) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-03-05 |