| NPI | 1093201584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 5010691) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2025-02-24 |