| NPI | 1184314908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 14058264-4405) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: UT 5936425-3102) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-03-17 |