| NPI | 1932685856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 825385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11018952) |
| 363L00000X Nurse Practitioner (Licence: TX AP138246) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-04-22 |