| NPI | 1750093779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1102139) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX 1102139) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2023-01-20 |