| NPI | 1326628777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1029995) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1029995) |
| 363L00000X Nurse Practitioner (Licence: TX 1029995) | |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2022-04-08 |