| NPI | 1437877552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6590677-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6590677-8900) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |