| NPI | 1417045477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 675747) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX 675747) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-11-06 |