| NPI | 1467107607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1071738) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 2021185858) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-03-09 |