| NPI | 1518563063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1056093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 889982) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2024-07-24 |