| NPI | 1912695388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6911025-8900) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: UT 6911025-3102) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-02-09 |