| NPI | 1265769004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX F1009221) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: TX AP118518) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2023-06-20 |