| NPI | 1043908213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 12001476-4405) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 12001476-3102) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-03-06 |