| NPI | 1467118265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1038824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1038824) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-10-27 |