| NPI | 1356032262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9115682-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1009883) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-07-25 |