| NPI | 1124702261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178677) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: VA 0024178677) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-12 |