| NPI | 1326613712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1038050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1038050) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2022-09-02 |