| NPI | 1669026704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142535) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L3631) |
| 207Q00000X Family Medicine (Licence: TX AP142535) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2024-02-14 |