| NPI | 1801397831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 7964760-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ MSL7969760-3102UT) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |