| NPI | 1023837655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030898) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA SP030898) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-11-05 |