| NPI | 1174190052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9701210-4405) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: UT 9701210-3102) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-06-13 |