| NPI | 1821222092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7282627-4405) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 7282627-3102) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2022-04-22 |