| NPI | 1750954970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1059151) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 898616) |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2022-02-25 |