| NPI | 1477190734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1168772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 779601) |
| 163W00000X Registered Nurse (Licence: TX 981148) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2024-07-12 |