| NPI | 1063176972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA F10210959) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: GA 45058) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2025-10-09 |