| NPI | 1427650399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1019605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1019605) |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2021-01-18 |