| NPI | 1639631930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 892821) |
| 363L00000X Nurse Practitioner (Licence: TX 892821) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-06-04 |