| NPI | 1184964025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 98663) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN218157) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2024-09-20 |