| NPI | 1518857903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 9528860-4405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 95288604405) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-08-28 |