| NPI | 1063044600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 23767) |
| 208M00000X Hospitalist (Licence: SC Pending) | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-01-23 |