| NPI | 1386325363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11774036-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 11774036-3102) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 11774036-8900) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-22 |