| NPI | 1841653292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP130312) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP130312) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2022-05-11 |