| NPI | 1346868536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1003027) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1003027) |
| 207Q00000X Family Medicine (Licence: TX 1003027) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-03-14 |