| NPI | 1790176287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 741143) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2023-08-28 |