| NPI | 1598450470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10348389-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 10348389-4405) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-09-13 |