| NPI | 1699255364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138552) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX AP138552) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-11-14 |