| NPI | 1154977742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP-140653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140653) |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2023-08-22 |