| NPI | 1104543669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 283052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 283052) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-07-19 |