| NPI | 1407137672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP123663) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX AP123663) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX AP123663) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2022-08-16 |