| NPI | 1922681444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: UT 10144774-3102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 10144774-3102) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |