| NPI | 1447834056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10343326-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10343326-3102) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 10343326-4405) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 10343326-4405) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-09-06 |