| NPI | 1053002410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10386681-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10386681-3102) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-03-18 |