| NPI | 1083265029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 282150-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 282150-4405) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-11-27 |