| NPI | 1164868907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-102264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 1-102264) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2023-06-30 |