| NPI | 1821830092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10165433-4405) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: UT 10165433-3102) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2026-02-17 |