| NPI | 1891452264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 05220028) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 05220028) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 05220028) | |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2023-07-08 |