| NPI | 1831189281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 817324) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 817324) |
| 363L00000X Nurse Practitioner (Licence: TN 131685) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-11-09 |