| NPI | 1386467355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1108690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1108690) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-01-03 |