| NPI | 1093339335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10217010-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10217010-3102) |
| 363L00000X Nurse Practitioner (Licence: UT 10217010-4405) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2022-05-31 |