| NPI | 1235748633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1004368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1004368) |
| 363L00000X Nurse Practitioner (Licence: TX 1004368) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2024-03-28 |