| NPI | 1821332412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX AP122333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122333) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2024-11-13 |