| NPI | 1801326137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10515010-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10515010-3102) |
| 163W00000X Registered Nurse (Licence: NY 718147) | |
| 163W00000X Registered Nurse (Licence: NY 718147-1) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-21 |