| NPI | 1013424431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024176176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4704262916) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2020-02-17 |