| NPI | 1578297248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1125750) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1125750) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2023-08-22 |