| NPI | 1194247288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 7754-33) |
| 363L00000X Nurse Practitioner (Licence: WI 218863) | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2021-11-24 |