| NPI | 1942789524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 756408) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-09-10 |