| NPI | 1245039528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 14197368-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 14197368-8900) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-04-09 |