| NPI | 1740791599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP133091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 789397) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2020-09-15 |