| NPI | 1427633635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1020315) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1020315) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 212804) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1020315) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-06-10 |