| NPI | 1841063393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141019) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1141019) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1141019) | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-12-01 |