| NPI | 1215450648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10744317-4405) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: NM RN82463) |
| 363LF0000X Nurse Practitioner Family (Licence: UT 10744317-4405) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-04-16 |