| NPI | 1043987860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 103711654405) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: UT 103711653102) |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2024-08-20 |