| NPI | 1336816040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1052551) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: TX 1052551) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-01-23 |