| NPI | 1831674555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138094) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 54066) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2021-09-30 |