| NPI | 1205386729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0024174091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174091) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2022-06-14 |