| NPI | 1538899109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11410180-4405) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 11410180-3102) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-09-24 |