| NPI | 1689283699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5497011-4405) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: UT 5497011-3102) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2022-09-01 |