| NPI | 1881281905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1031099) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX f12200175) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2022-03-03 |