| NPI | 1235702812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1046227) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: TX 1046227) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1046227) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-04-16 |