| NPI | 1588288997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8730574-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 87305743102) |
| 363L00000X Nurse Practitioner (Licence: UT 8730574-4405) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8730574-4405) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2021-11-12 |