| NPI | 1528722352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1051087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1051087) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-10-30 |