| NPI | 1972196723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1090215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 667407) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-08-24 |