| NPI | 1659516615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX AP143451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143451) |
| 133N00000X Nutritionist (Licence: TX 754909) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2021-04-12 |