| NPI | 1598556805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 12649947-4405) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 12649947-3102) |
| 363L00000X Nurse Practitioner (Licence: UT 12649947-4405) | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-12-04 |