| NPI | 1174138663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP145986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX AP145986) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |