| NPI | 1942709241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 814277) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2022-06-04 |