| NPI | 1003497819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1032839) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX 1032839) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-06-03 |