| NPI | 1063043271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 21224) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX AP144824) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2021-04-21 |