| NPI | 1336786664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143805) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX AP143805) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-08-27 |