| NPI | 1528857034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: WY 59235) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 1199573) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: ID 6871953) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: LA 243170) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: WA ARNP.AP.70121561-NP) | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2026-07-29 |