| NPI | 1174281588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE F09211696) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-05-04 |