| NPI | 1972261741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1059075) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX 1059075) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-12-22 |