| NPI | 1649800699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1114211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 95646) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2023-06-16 |