| NPI | 1366131799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 14006228-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 5244502-3102) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2024-11-14 |