| NPI | 1306687561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 12591069-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 12591069-3102) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-06-18 |