| NPI | 1487135943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1140605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 950065) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2024-05-10 |