| NPI | 1558144402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX 1082992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1082992) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-12-08 |