| NPI | 1538688742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 10439850-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-132538) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2026-07-10 |