| NPI | 1669021978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 712171) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-02-13 |