| NPI | 1134637820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP145942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0996565) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-01-25 |