| NPI | 1033744545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7963686-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7963686-3102) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2025-05-29 |