| NPI | 1063941060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP133480) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX AP133480) |
| 363L00000X Nurse Practitioner (Licence: TX AP133480) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-07-26 |