| NPI | 1881268514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10380615-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10380615-3102) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-06-16 |