| NPI | 1427548189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1137371) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 9327300) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2024-01-11 |