| NPI | 1386412443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8256897-1205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9635982-3102) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-06-27 |