| NPI | 1437739950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 1031531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1031531) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2023-01-25 |