| NPI | 1275312415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9397965-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9397965-3102) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 9397965-4405) | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-07-24 |