| NPI | 1811455249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP140794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 788537) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2021-09-17 |