| NPI | 1952825275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 882885) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134782) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-12-21 |