| NPI | 1710525209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 12302586-8900) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL 9313297) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL 9313296) | |
| 363L00000X Nurse Practitioner (Licence: FL 9313297) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9313297) | |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2021-06-02 |