| NPI | 1891304309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 9159428-8900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 9159428-4405) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-07-06 |