| NPI | 1932629813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP142580) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R41288) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-08-29 |