| NPI | 1326513672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1117624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP60882827) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2024-01-19 |