| NPI | 1447980032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 1126700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 224375) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-05-08 |