| NPI | 1427671189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1001848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 851287) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2023-06-07 |