| NPI | 1699546077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F12230530) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 1008623) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-03-06 |