| NPI | 1770915852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7294637-4405) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 7294637-4405) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2021-10-21 |