| NPI | 1609572221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5899567-4405) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: UT 5899567-3102) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 5899567-4405) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-08-10 |