| NPI | 1245065259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 1174139) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1174139) |
| 363L00000X Nurse Practitioner (Licence: TX 1174139) | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |