| NPI | 1285318295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8297984-4405) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: UT 8297984-3102) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-02-05 |