| NPI | 1710518071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP144794) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP144794) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2023-11-29 |