| NPI | 1841870649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1006425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1006425) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1006425) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-01-22 |