| NPI | 1144834599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 14228343-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-146194) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-146194) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2025-07-18 |