| NPI | 1245708544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP139893) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F10181507) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-12-10 |