| NPI | 1538917554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 11013676-4405) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: UT 11013676-3102) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-07-05 |