| NPI | 1508355280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 8318581-4405) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: UT 8318581-3102) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-08-21 |