| NPI | 1912411307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6422358-4405) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: UT 6422358-3102) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2021-12-08 |