| NPI | 1902448236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6561651-4405) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: UT 6561651-3102) |
| 363L00000X Nurse Practitioner (Licence: UT 6561651-8900) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-07-13 |