| NPI | 1881373397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1127502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1127502) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |