| NPI | 1194288035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000185) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ARNP11000185) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL 1164433256) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 1164433256) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2026-02-12 |