| NPI | 1760185227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1114805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 857426) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-09-06 |