| NPI | 1922703438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000920) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1000920) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-05-08 |