| NPI | 1861015448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1035881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 209021246) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209021246) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-12-20 |