| NPI | 1093187734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL92450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 19511) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2024-08-09 |