| NPI | 1639986581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10882600-3102) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 10882600-3102) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-04-10 |