| NPI | 1538721246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F06191496) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2021-04-13 |