| NPI | 1689321275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5607037-4405) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: UT 5607037-3102) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-01-17 |