| NPI | 1912473646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139343) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX AP139343) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139343) | |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2021-11-22 |