| NPI | 1144972209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP025139) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2023-03-23 |