| NPI | 1205693082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9284339-4405) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: UT 9284339-3102) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-08-08 |