| NPI | 1801373170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 761090) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1171188) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-08-14 |