| NPI | 1326558545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R131456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP135273) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP135273) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-05-17 |