| NPI | 1871162305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1056096) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 901065) |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2022-03-16 |