| NPI | 1851992184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1029236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 939803) |
| 363L00000X Nurse Practitioner (Licence: TX 939803) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-01-18 |