| NPI | 1871149252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143106) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: LA 207903) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2022-10-05 |