| NPI | 1912443193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 817616) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2024-05-29 |