| NPI | 1649684598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX AP125469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125469) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-12-18 |