| NPI | 1457971764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1000145) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 912895) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-06-23 |