| NPI | 1831773449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8026005-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8026005-3102) |
| 363L00000X Nurse Practitioner (Licence: UT 8026005-8900) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-02-22 |