| NPI | 1780392365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1074709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 852848) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2022-11-11 |