| NPI | 1376065490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP134239) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX AP134239) | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-01-30 |