| NPI | 1104647098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9547288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 9547288) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-25 |