| NPI | 1881162527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX AP138452) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP138452) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138452) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2024-07-16 |