| NPI | 1609449016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8850800-4405) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 8850800-4405) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-07-15 |