| NPI | 1457948887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10082241-8900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10082241-3102) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 10082241-4405) | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2022-04-14 |