| NPI | 1902358823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP131779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 815629) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2022-07-21 |