| NPI | 1689451478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10371161-4405) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: UT 10371161-3102) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-12-08 |