| NPI | 1568036598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1012253) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1012253) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2022-08-08 |