| NPI | 1336606201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP140778) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP140778) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2023-03-27 |