| NPI | 1427618453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 823000) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-06-03 |