| NPI | 1538793898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1100416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 877818) |
| 363L00000X Nurse Practitioner (Licence: TX 1100416) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-11-20 |