| NPI | 1427855881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9521916-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9521916-4405) |
| 163W00000X Registered Nurse (Licence: UT 95219163102) | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-10-15 |