| NPI | 1720828247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1141204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711640) |
| 163W00000X Registered Nurse (Licence: TX 1141204) | |
| 363L00000X Nurse Practitioner (Licence: NY 353111) | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |