| NPI | 1902269970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 583208) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2021-06-10 |