| NPI | 1043972433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10656678-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10656678-3102) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2022-05-25 |