| NPI | 1225609712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP144004) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: TX AP144004) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-08-18 |