| NPI | 1548777915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP134751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 786687) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2022-08-02 |