| NPI | 1932726205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1138540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 919700) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-10-05 |