| NPI | 1154000891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA RN264566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN264566) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-11-20 |