| NPI | 1619480233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070819) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL F06170128) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-09-23 |