| NPI | 1609364967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1020419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 880993) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-09-01 |