| NPI | 1073242905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1074237) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95025589) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95025589) | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2023-07-10 |