| NPI | 1881211803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX 1072253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 214087) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-08-15 |