| NPI | 1033701271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1011293) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1011293) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-01-06 |