| NPI | 1912443193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 71391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 817616) |
| 207R00000X Internal Medicine (Licence: NM 71391) | |
| 363L00000X Nurse Practitioner (Licence: TX AP133033) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2025-04-07 |