| NPI | 1346946134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5646802-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 5646802-3102) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-09 |