| NPI | 1194592659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1619101557) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-01-10 |