| NPI | 1164284691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 78499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID 78499) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-03-14 |