| NPI | 1750918082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1029033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 892596) |
| 363L00000X Nurse Practitioner (Licence: FL TPAN518) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-11-05 |