| 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 |