| NPI | 1235857293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1089691) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1089691) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX 1089691) | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-06-12 |