| NPI | 1063161081 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.010477) | 
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: CT 12.10477) | 
| Enumeration Date | 2022-03-18 | 
| Last Update Date | 2025-01-09 |