| NPI | 1427633817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10218982-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10218982-3102) |
| 363L00000X Nurse Practitioner (Licence: MO 2021033192) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2022-08-18 |