| NPI | 1295460616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202211971NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 910531) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-10-25 |