| NPI | 1013519966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1018119) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1018119) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1018119) | |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2021-04-09 |