| NPI | 1801382155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10082572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201805310NP-PP) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-06-08 |