| NPI | 1750624672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6654802-4405) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: UT 6654802-3102) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-02-06 |