| NPI | 1508595448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1085944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 923776) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-05-29 |