| NPI | 1306516570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6904782-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 6904782-8900) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-28 |