| NPI | 1053021477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA SP027299) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA F10221484) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP027299) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-07-17 |