| NPI | 1790180248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A004533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126756) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2022-02-17 |