| NPI | 1316712227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX 1142195) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1142195) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-01-27 |