| NPI | 1154003473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 5641317-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5641317-4405) |
| 363L00000X Nurse Practitioner (Licence: UT 5641317-4405) | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-01-22 |