| NPI | 1336769819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145823) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX AP145823) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2022-02-08 |