| NPI | 1306429311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8302958-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 83029583102) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-12-12 |