| NPI | 1407322209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA ap09926) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX ap138157) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2021-11-29 |