| NPI | 1316505571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7036398-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7036398-3102) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-03-30 |