| NPI | 1750810974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP134355) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: TX 842389) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2023-02-28 |