| NPI | 1376242644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 13470553-4405) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TX 947995) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-03-04 |