| NPI | 1558816553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX 1091532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016029744) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-01-19 |