| NPI | 1346824950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5285006-4405) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163W00000X Registered Nurse (Licence: UT 5285006-3102) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-03-21 |