| NPI | 1891335584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP140827) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A006176) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |