| NPI | 1417436783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP145304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 848155) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-08-18 |