| NPI | 1174034946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN290866) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA RN290866) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2025-12-24 |